A Benefis case manager is responsible for the coordination and implementation of case management activities. The case manager encompasses all care needs of the patient during the time frame the patient is established with outpatient service/clinic. Remains point of contact for patient/family/legal representative until patient transitions to another service line OP case manager or patient navigator. Works with all members of the healthcare and multidisciplinary team to assure a collaborative approach is maintained in care and treatment of the patient. Reviews care and treatment for appropriateness against screening and reimbursement criteria for appropriate referral management. Plans and coordinates all necessary care services and needs for the patient. Provides patient/family/legal representative with community and/or care need resources. Organizes and leads necessary care conferences or multidisciplinary care team discussions. Sends any ordered or necessary referrals to the appropriate service line Patient Navigators, Case Manager, or community resource contact for review of appropriateness of services or resources requested. Communicates any changes in the patient's clinical condition that may impact their care plan to the care team and remains point of contact for the patient/family/legal representative. Provides continual monitoring and assessment of patients care plan goals and needs and modifies referrals and resource requests, as necessary.

FLSA:

NON-EXEMPT

DUTIES AND RESPONSIBILITIES:

Demonstrates effective and efficient clinical triaging skills.

The OP Case Manager must have thorough knowledge of clinical nursing skills.

The OP Case Manager needs to have the ability to complete head to toe assessment for clinical needs.

Serves as the point of contact to receive patient navigator referrals and regional referrals for services.

Serves as patient advocate to ensure continuity of care by following patients receiving services across various care settings; inpatient, outpatient, emergency, home health, etc.

As a not-for-profit community health system, Benefis is driven to provide the highest level of care. We serve nearly 230,000 residents across a 15-county region that is bigger than Connecticut, Massachusetts, New Hampshire and Vermont combined. Benefis is the largest non-governmental employer in the Great Falls area, with more than 3,000 employees.Benefis has 530 licensed beds (that includes 146 beds in long-term care, 71 in assisted living and 20 beds at Peace Hospice of Montana) and partners with over 250 area physicians.Our hospital has been recognized for its exceptional work in quality care by providing a wide range of programs and services to help you live the best life possible. We’re here to help you “Live well.”Benefis Health System came about when two Christian-based hospitals became one. Our founders believed in providing good care to all in need, and trusted that this would be accomplished. The Benefis name was derived using Latin root words: "Bene-" meaning good, and "fis-" for faith and trust. It’s these same root words that make up such terms as ‘beneficial’ and ‘confidence’.Benefis has been a trusted provider of care for more than 125 years. And our name speaks to o...ur commitment: good care one can put faith in.Benefis is consistently ranked among America’s top hospitals by the nation’s leading healthcare ratings organizations for a range of services, including cancer care, joint replacement, stroke treatment, wound care and home health.To learn more about our services, continue looking through our website at WWW.BENEFIS.ORG or call 406.455.5000.